Active NPI
Jin Young Kim
- Pharmacist
- Flushing, NY
National Provider Identifier
1518118942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 052447-1
- Practice address
- 13955 35TH Ave Apt 3H
Flushing, NY 11354-3509 - Phone
- (646) 409-8692
- NPI assigned
- Oct 3, 2008
- Last updated
- Mar 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 052447-1 | NY | Primary |
| Pharmacist | 183500000X | 28RI03089000 | NJ |
Addresses
Primary practice location
13955 35TH Ave Apt 3H
Flushing, NY 11354-3509
Mailing address
13955 35TH Ave Apt 3H
Flushing, NY 11354-3509
Phone (646) 409-8692
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28RI03089000 | NJ | MD | Pharmacist |
| 052447-1 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269043200000",
"number": "1518118942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13955 35TH AVE APT 3H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113543509",
"telephone_number": "646-409-8692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13955 35TH AVE APT 3H",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113543509",
"telephone_number": "646-409-8692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIM",
"first_name": "JIN YOUNG",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-03",
"last_updated": "2010-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NY",
"license": "052447-1",
"primary": true
},
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "NJ",
"license": "28RI03089000",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.